Table 3.
Linear regression models of consults called per year by a spoke as a predictor of a spoke’s alteplase treatment outcomes of interest with and without adjustment for spoke-level characteristics.
Spoke variable | Median door-to-needle time (minutes) | Number treated with alteplase per year | Percent of eligible patients treated with alteplase | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |||||||
β | p | β | p | β | p | β | p | β | p | β | p | |
Consults called per year (units of 10) | −1.57 | 0.02 | −1.76 | 0.02 | 2.00 | <0.01 | 1.68 | <0.01 | 13.39 | <0.01 | 8.27 | <0.01 |
Number of staffed beds (units of 10) | 0.04 | 0.80 | 0.21 | 0.17 | 0.14 | <0.01 | 0.06 | 0.05 | 0.29 | 0.75 | −0.04 | 0.94 |
Rurality | −5.84 | 0.29 | −12.12 | 0.05 | −2.57 | 0.19 | 0.10 | 0.95 | 11.30 | 0.68 | 33.92 | 0.13 |
Teaching status | 5.49 | 0.31 | 0.72 | 0.87 | 1.01 | 0.52 | 0.26 | 0.77 | 7.20 | 0.80 | −5.15 | 0.76 |
Primary Stroke Center certification | 5.74 | 0.27 | −1.20 | 0.82 | 1.39 | 0.42 | 0.50 | 0.63 | 12.38 | 0.63 | −0.61 | 0.98 |
Median age | 0.10 | 0.82 | 0.02 | 0.97 | −0.01 | 0.96 | −0.02 | 0.84 | −0.21 | 0.92 | −0.07 | 0.97 |
Percent Caucasian | 0.12 | 0.59 | −0.64 | 0.03 | 0.04 | 0.59 | 0.04 | 0.54 | −1.69 | 0.13 | −1.91 | 0.07 |
Percent female | −0.02 | 0.97 | 0.52 | 0.33 | 0.18 | 0.34 | −0.06 | 0.60 | 2.00 | 0.46 | −0.19 | 0.92 |
Percent history of atrial fibrillation | 1.15 | 0.12 | 1.24 | 0.19 | 0.00 | 1.00 | −0.13 | 0.61 | 5.14 | 0.16 | 2.59 | 0.46 |
Median NIHSS | 3.10 | 0.02 | 0.48 | 0.77 | 0.02 | 0.97 | 0.14 | 0.64 | −3.72 | 0.48 | 3.50 | 0.56 |
Abbreviations: Beta-coefficient (β); P-value (p); National Institute of Health Stroke Severity (NIHSS)